Should I start treatment?
May 21, 2007
I am a 45 year old heterosexual female. Had an affair, got ARS, tested positive. Hubby remains negative. Exposure was 1/06, tested positive 3/14/06. CD4 initially over 500. Last two times it was below 350. Viral load still above 10,000. Huge supraclavicular lymph node, occasional fevers, fatigue. Case is complicated by the fact that I also have Multiple Sclerosis, which is very stable and not disabling. My doctor has not recommended treatment yet; should I get a second opinion?
Response from Dr. Henry
If your CD4 count and % are clearly declining (and now confirmed < 350) I would strongly consider starting antiretroviral therapy to maximize your changes to achieve a CD4 count > 500 which is associated with very low long-term risk for HIV related clinical complications. I would discuss further with your HIV specialist who is familiar with the details of your situation. KH
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